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Spring Retreat 2025 Student Registration
Saturday April 5th, 2025 8am-8pm
There is no cost to attend!
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Email
*
Your email
Student Name (First and Last)
*
Your answer
Gender
*
Male
Female
Grade
*
6th
7th
8th
9th
10th
11th
12th
Student Phone Number (Not required)
Your answer
Parent/ Guardian Name
*
Your answer
Parent/ Guardian Phone Number
*
Your answer
Who Should we contact in the case of an emergency?
*
Your answer
Emergency Contact Phone Number
*
Your answer
Emergency Contact's Relation to student
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Does the student have any allergies? If so, please list.
*
Your answer
Are there any medical concerns we need to be aware of?
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Your answer
Questions or Comments
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A copy of your responses will be emailed to the address you provided.
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